• 1.

    Gonzalez, JS, M Peyrot, LA McCarl, et al. :Depression and diabetes treatment nonadherence: a meta-analysis. .Diabetes Care 31::2398. :2008. .

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 2.

    Pataky, Z, A Golay, L Faravel, et al. :The impact of callosities on the magnitude and duration of plantar pressure in patients with diabetes mellitus: a callus may cause 18,600 kilograms of excess plantar pressure per day. .Diabetes Metab 28::356. :2002. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Murray, HJ, MJ Young, S Hollis, et al. :The association between callus formation, high pressures and neuropathy in diabetic foot ulceration. .Diabetic Med 11::979. :1996. .

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 4.

    Pitei, DL, A Foster, and M Edmonds. :The effect of regular callus removal on foot pressures. .J Foot Ankle Surg 38::251. ,1999. ; discussion 306.

  • 5.

    Boulton, AJ, DG Armstrong, SF Albert, et al. :Comprehensive foot examination and risk assessment: a report of the task force of the foot care interest group of the American Diabetes Association, with endorsement by the American Association of Clinical Endocrinologists. .Diabetes Care 31::1679. :2008. .

    • Crossref
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 6.

    Armstrong, DG and JL Mills. :Toward a change in syntax in diabetic foot care: prevention equals remission. .JAPMA 103::161. :2013. .

Pedal Pathology Potentiated by Personal Pedicure Procedures in the Presence of Painless Peripheral Neuropathy

Michelle S. Zhubrak Southern Arizona Limb Salvage Alliance (SALSA), Department of Surgery, University of Arizona College of Medicine, Tucson, AZ.

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Timothy K. Fisher Southern Arizona Limb Salvage Alliance (SALSA), Department of Surgery, University of Arizona College of Medicine, Tucson, AZ.

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David G. Armstrong Southern Arizona Limb Salvage Alliance (SALSA), Department of Surgery, University of Arizona College of Medicine, Tucson, AZ.

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Although the literature is replete with recommendations for people with diabetes—particularly those with neuropathy, ischemia, or both—to avoid caring for corns and calluses on their own feet, there are virtually no reports of damage associated with this care. The purpose of this article is to report on the potential perils of personal pedicures in the presence of peripheral neuropathy by using a case-based example. In this article, we report on the inappropriate use of a Ped Egg personal pedicure device that led to limb-threatening lesions in a gentleman with diabetic peripheral sensory neuropathy. (J Am Podiatr Med Assoc 103(5): 448–450, 2013)

Corresponding author: David G. Armstrong, DPM, MD, PhD, Southern Arizona Limb Salvage Alliance (SALSA), Department of Surgery, University of Arizona College of Medicine, 1501 N. Campbell Avenue Tucson, Arizona 85724-5072. (E-mail: armstrong@usa.net)